Physical activity, inflammatory biomarkers in gingival crevicular fluid and periodontitis

Sanders, Anne E.; Slade, Gary D.; Fitzsimmons, Tracy; Bartold, P. Mark

doi:10.1111/j.1600-051x.2009.01394.x

Cited by 49 publications

(75 citation statements)

References 38 publications

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“…First, although various studies (35–37) have examined the relationship between potential predictors and oral health, they have only examined the association between a few predictors and oral health. Our study focused on a broad range of health-related risk factors related to severe periodontitis.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and predictors for periodontitis among adults in China, 2010

Zhang

Wang

et al. 2014

Global Health Action

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BackgroundAlthough the interrelationship between poor oral health and chronic diseases is well established, few related studies are available in China. In this study, the prevalence of severe periodontitis and its association with chronic diseases among adults in China have been explored.DesignDuring China's 2010 Chronic Disease and Risk Factor Surveillance (CCDRFS) survey among adults aged 18 and older, 3 out of 162 surveillance points and the entire sample from each point (600×3=1,800 subjects) were selected as pilot study sites in which oral examination was performed. Basic demographic information, chronic diseases status, and results of oral examination were collected from 2010 CCDRFS data. A standard oral examination was conducted by trained staff. Periodontitis was defined as moderate (4–5 mm pockets) or severe (≥6 mm pockets). Chronic disease status was determined by using standard methods and criteria. Multivariate logistic analysis was used to identify the independent association of various factors with severe periodontitis.ResultsOf 1,800 subjects, 1,728 subjects (96%) provided complete information. The prevalence of severe periodontitis was 1.9% (32/1,728) (95% CI=1.2–2.5). In multivariate model, participants with diabetes were 2.4 times (OR=2.4, 95% CI=1.1–5.6) more likely to have severe periodontitis. Being male was significantly associated with severe periodontitis (OR=3.5, 95% CI=1.6–7.7). Living in a rural area was related to an increased chance of having severe periodontitis (OR=2.1, 95% CI=1.0– 4.9). Attainment of at least 6 years of education was inversely associated with severe periodontitis (OR=0.3, 95% CI=0.1–0.8).ConclusionsAccording to this pilot project, prevalence of severe periodontitis was low. Control measures should be particularly emphasized for high-risk groups such as less educated people (<6 years of education), people living in rural areas, men, and diabetes patients. Population-based studies, including oral examination by trained staff, are feasible and should be done in order to understand the burden of periodontitis and to provide an effective response to this key oral health issue.

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Section: Discussionmentioning

confidence: 99%

Prevalence and predictors for periodontitis among adults in China, 2010

Zhang

Wang

et al. 2014

Global Health Action

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“…Physical activity may reduce periodontal disease risk (17,25). In our study, physical inactivity increased the likelihood of tooth loss, but most AORs were not significant.…”

Section: Discussionmentioning

confidence: 99%

“…In our study, physical inactivity increased the likelihood of tooth loss, but most AORs were not significant. Data from the National Health and Nutrition Examination Survey show that physically active adults have a lower risk of periodontitis, and adults with periodontitis had elevated levels of C-reactive protein and white blood cell counts in the gingival crevicular fluid (25). The underlying mechanism associating physical activity with tooth loss may be through enhancement of a person’s immunological response (25).…”

Section: Discussionmentioning

confidence: 99%

“…First, although numerous studies (2–8,10,12,16,17,19,25–27,32) have examined the relationship between these predictors and oral health, they examined the association between only 1 to 3 risk factors and oral health (2,3,6,7,12,17,26,27,32). Our study focused on a broad range of health-related risk factors related to tooth loss.…”

Section: Discussionmentioning

confidence: 99%

“…Second, our study used different outcomes than those used in previous studies (3–6,8,10,12,16,19,25,26,32). Furukawa et al (5) used “depth of periodontal pockets,” Kelbauskas et al (32) used “teeth surfaces with carious lesions,” Sanders et al (25) used “periodontitis case,” and Dye et al (16) used ”perceived dental treatment needs” as outcomes. Many of the studies tended to dichotomize oral health (2,3,6,7,12,26), categorizing adults as having or not having oral disease.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Sociodemographic and Health-Related Risk Factors Associated with Tooth Loss Among Adults in Rhode Island

Jiang¹,

Okoro²,

Oh³

et al. 2013

Prev. Chronic Dis.

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IntroductionOral health is an integral component of overall health and well-being. Very little Rhode Island state-level information exists on the determinants of tooth loss. The objective of this study was to systematically identify sociodemographic characteristics, health behaviors, health conditions and disabilities, and dental insurance coverage associated with tooth loss among noninstitutionalized adults in Rhode Island.MethodsWe analyzed Rhode Island’s 2008 and 2010 Behavioral Risk Factor Surveillance System survey data in 2011. The survey had 4 response categories for tooth loss: none, 1 to 5, 6 or more but not all, and all. We used multinomial logistic regression models to assess the relationship between 4 risk factor domains and tooth loss.ResultsAn estimated 57.6% of Rhode Island adults had all their teeth, 28.9% had 1 to 5 missing teeth, 8.9% had 6 to 31 missing teeth, and 4.6% were edentulous. Respondents who had low income, low education, unhealthy behaviors (ie, were former or current smokers and did not engage in physical activity), chronic conditions (ie, diabetes and obesity) or disabilities, and no dental insurance coverage were more likely to have fewer teeth compared with their referent groups. However, the association of these variables with tooth loss was not uniform by age group.ConclusionAdults who report risky health behaviors or impaired health may be considered target subpopulations for prevention of tooth loss and promotion of good oral health.

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The association of work physical activity and recreational physical activity with periodontitis in the NHANES (2009–2014)

Yang

et al. 2023

Journal of Periodontology

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BackgroundThe aim of this study was to investigate the association between different types and intensity of physical activities (PA) and periodontitis in a nationally representative sample of adults in the United States.MethodsThe data of periodontal condition and PA of 10,714 individuals were obtained from the National Health and Nutrition Examination Survey (NHANES) from 2009 to 2014 and the Global Physical Activity Questionnaire (GPAQ). The association between the prevalence of periodontitis and two PAs (work PA and recreational PA) was respectively analyzed and adjusted by uni‐ and multi‐variable logistic regression models. The odd ratios (ORs), adjusted odd ratios (ORad), and 95% confidence interval (95% CI) were calculated as the main outcome indicators.ResultsAfter adjusted by age, sex, race, poverty‐income ratio (PIR), diabetes, smoking status, alcohol use, and floss frequency, moderate and vigorous work PAs were significantly correlated with higher odds of periodontitis (ORad = 1.22, 95% CI = 1.02–1.46; ORad = 1.40, 95% CI = 1.04–1.89, respectively) while moderate and vigorous recreational PAs were correlated with lower odds of periodontitis (ORad = 0.81, 95% CI = 0.69–0.95; ORad = 0.55, 95% CI = 0.43–0.71, respectively).ConclusionsWork PAs and recreational PAs have opposite associations on the prevalence of developing periodontitis and their aggravating or protective associations enhance with the increase of intensity.

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Physical activity, inflammatory biomarkers in gingival crevicular fluid and periodontitis

Abstract: Leisure-time physical activity may protect against an excessive inflammatory response in periodontitis.

Cited by 49 publications

References 38 publications

Prevalence and predictors for periodontitis among adults in China, 2010

Prevalence and predictors for periodontitis among adults in China, 2010

Sociodemographic and Health-Related Risk Factors Associated with Tooth Loss Among Adults in Rhode Island

The association of work physical activity and recreational physical activity with periodontitis in the NHANES (2009–2014)

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